Dificuldades dos familiares de idosos portadores de doenças crônicas no acesso à Unidade Básica de Saúde

Abstract

The individual's aging process is being the target of attention in Brazil, what requires from the public health services a specific preparation to face this reality. The study aimed at to identify the difficulties lived by the families of elderly with chronic conditions looking for assistance in the Basic Health Units. As a methodological referential the Data Based Theory was used, and the Symbolic Interactionism was used as a theoretical referential. Eight families of seniors suffering from chronic disease took part in the research. The families mention problems of non-continuity of the programs accomplished by the BHU when the political administration is changed, as well as the frequent changes of the health team members, leading to the discontinuity of the treatment and the breaking of bonds between population and professionals of health.

Classificação Internacional de Funcionalidade, Incapacidade e Saúde e afasia: um estudo da participação social

“…Similarly, health professions such as, for example, occupational therapy and speech-language pathology and audiology have highlighted the motor (hemiplegia) and/or sensory (hemiparesis) impairments that, usually, accompany aphasias and cause abrupt changes in life style and in quality of life of the subjects affected, producing (greater or smaller) restrictions in order to fulfill instrumental and/or daily life activities, in family and/or magnified social interactions. These restrictions require a certain level of permanent care and health management (4) . Another study (5) also mentions transformations in family life of people with neurological sequelae; its authors state that, because they are usually chronic impairments, changes in family dynamics may even interfere in the rehabilitation process.…”

<b>O cuidado familial a criança com necessidades especiais de saúde no contexto da comunidade</b>

“…A família assume importante papel no cuidado à criança, pois detém a responsabilidade com o bem-estar físico, emocional e social de seus membros, e é no reduto familiar que a criança encontra boa parte de seu referencial (17) . Em seu dia a dia, a CRIANES necessita desse apoio prestado pela família, pois, em decorrência de sua dependência, tanto medicamentosa, tecnológica como de desenvolvimento, passa por tratamentos prolongados, ou por consultas periódicas, o que acaba sendo um transtorno no cotidiano desta criança.…”

Factors of the Kaingang culture which influence care for the older adult: the view of the health professional

“…It is asked which aspect, in isolation, could be considered as harmful to the care, as the literature states that the family is an important element in the support and care for the older adult (11,18) . For this reason, it becomes essential to understand the Kaingang's dynamics and conception of care, as it is based on that that the professional will be able to understand the real meaning of care for these peoples, as the non-care…”

“…The signification of the care is based in the everyday interactions which take place between the older adult and the family, who are held as social actors constantly influenced by stories and cultural values (18)(19) . One study undertaken with riparian populations showed that the care for health and for illness in the families occurs dynamically and concomitantly with the care exercised by the health professionals, thus increasing the elements which make up the complex web of meanings of the cultural care (20) .…”